Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Potter, PA

Individual provider Physician Assistant · NPI 1679906481

Derek Potter, PA is a Physician Assistant in Vernal, Utah. Qualified in 2013, 13 years ago. Practices with Northeastern Utah Medical Group, a 51-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
13
Licensed in
UT
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

379 N 500 W Ste 1A
Vernal, UT 84078-1956
Phone: (435) 789-1165
Fax: (435) 789-1169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8760465-1206 (UT)

Record details

NPI number1679906481
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 15, 2013
Last updated in NPPESAugust 15, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Northeastern Utah Medical Group — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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